NURS 5463 Module 6: Heart Failure Questions with Correct Answers
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Course
RN- Nursing
Institution
RN- Nursing
A 65-year-old man with heart failure has pillow orthopnea and SOB while walking around his house. He is comfortable only at rest. What New York Heart Association heart failure class symptoms does he have?
A. Class I
B. Class II
C. Class III
D. Class IV Correct Answer-C. Class III
Heart failure...
NURS 5463 Module 6: Heart Failure Questions with
Correct Answers
A 65-year-old man with heart failure has pillow orthopnea and SOB
while walking around his house. He is comfortable only at rest. What
New York Heart Association heart failure class symptoms does he have?
A. Class I
B. Class II
C. Class III
D. Class IV Correct Answer-C. Class III
Heart failure symptoms with minimal amounts of exertion
A 45-year-old man presents with dyspnea on exertion and four-pillow
orthopnea. Jugular venous pressure is elevated, and you hear an S3 on
exam. ECG is normal sinus rhythm without Q waves, ST, or T wave
changes. Echocardiography shows global left ventricular hypokinesis
and an EF of 30% with no valvular abnormalities. What is the next best
step in diagnosis or management?
A. Order a chest CT for a coronary calcium score
B. Assess for coronary artery disease with a stress test or cardiac
catheterization
C. Implant a biventricular implantable cardioverter defibrillator
D. Order a multigated acquisition scan to better assess cardiac function
Correct Answer-B. Assess for CAD with a stress test of cardiac
catheterization
, An ischemic evaluation is essential in a patient presenting with recent-
onset heart failure since the most common cause of cardiomyopathy in
the US is ischemic heart disease
A 75-year-old man with chronic systolic heart failure presents to your
clinic with class III symptoms. His most recent echo showed an EF of
25%. He takes losartan, metoprolol, aspirin, and aldactone. Which of the
following interventions will decrease his mortality?
A. Digoxin
B. Low-salt diet and fluid restriction to 1.5 L/day
C. Implantable cardioverter defibrillator
D. Cardiac rehabilitation Correct Answer-C. Implantable cardioverter
defibrillator
While digoxin, dietary recommendations, and cardiac rehab can improve
symptoms and decrease readmission in heart failure, only an ICD has
been shown to decrease mortality
A 55-year-old man complains of increasing dyspnea on exertion and
orthopnea. His physical examination reveals an S3 heart sound,
pulmonary rales, jugular venous distention, and lower extremity edema.
He is normotensive, and his extremities are warm to touch. An
echocardiogram confirms an ejection fraction of 25% and a dilated left
ventricle. What is the most appropriate next step in management?
A. Oral furosemide
B. IV furosemide
C. Oral BB
D. Sublingual nitroglycerin Correct Answer-B. IV furosemide
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